Articles tagged with Pediatrics
Researchers identified a higher rate of clonal hematopoiesis in pediatric cancer survivors compared to age-matched controls. Treatment-induced STAT3 gene mutations were also found at a higher prevalence among survivors of certain childhood cancers, such as Hodgkin lymphoma.
A pediatric trauma team at Golisano Children's Hospital significantly reduced unnecessary CT scans, minimizing radiation exposure and healthcare costs. The team's efforts, which included adapting existing guidelines and developing new ones, resulted in a 45% reduction in non-indicated scans.
A new WVU study found nearly one in eight West Virginia infants had in utero exposure to opioids, stimulants, and/or cannabis between 2020 and 2022. The study showed a 40% increased risk of preterm birth among infants exposed to stimulants alone and a 70% increase with concurrent stimulant and cannabis exposures.
Researchers analyzed electronic health record data from over 7.1 million children to identify risk factors associated with a faster decline in kidney function, including disease origin, proteinuria, hypertension, and younger age. The study found that certain attributes are linked to a more rapid decline in kidney function, providing va...
A new study found that financial coaching for parents of infants in a pediatric primary care setting reduced missed well-child care visit rates by half and improved vaccination receipt. The intervention, which connected parents to public benefits and cost-saving services, also increased monthly household income.
A new study found that massage therapy significantly reduces pain, stress, and anxiety in children, adolescents, and young adults with cancer or sickle cell disease. The study published in Pediatric Blood & Cancer reports clinically significant benefits from massage therapy, highlighting its potential as a non-pharmacologic treatment o...
A 20-year study reveals that recent advances in surgical and clinical care have significantly reduced brain injuries in babies with congenital heart disease. Infants who received higher postoperative blood pressure had a 20% lower risk of brain injury compared to those in earlier stages.
Eleni Tomazou's project aims to create in vitro and in vivo models of pediatric sarcomas to accelerate drug discovery and precision medicine. Her work could lead to a significant impact on the treatment of these deadly cancers.
Disparities in access to pediatric ophthalmological care have increased over the past 15 years, with lower socioeconomic status being a significant factor. Online sources can lead to inaccurate databases, highlighting the need for accurate publicly available information.
Researchers developed a translational step forward in treating brain tumors using intraventricular immunovirotherapy, which has shown safety and efficacy in recent clinical trials. This approach uses oncolytic herpes simplex virus type-1 to target high-grade glioma with promising results.
Researchers have solved an 80-year-old medical mystery that causes kidney damage in children and can be fatal in babies. They discovered a gene mutation is the primary cause, but found that around 10% of patients without the mutation still experience symptoms.
Researchers seek to reduce medical errors among patients with limited English proficiency by implementing three different translation approaches. The goal is to compare the effectiveness of telephone interpreter-based and in-person interpreter-assisted communication in reducing errors.
Researchers at Children's Hospital of Philadelphia have developed a custom-built application to automate the determination of engraftment after hematopoietic stem cell transplant. The tool has been shown to improve accuracy of reported engraftments, reducing errors in neutrophil and platelet engraftment reporting.
A study of 104 Polish children found that higher daily physical activity levels were associated with reduced symptoms of upper respiratory tract infections. Children who engaged in more sports and took longer walks experienced fewer days with respiratory tract infection symptoms.
Researchers at Children's Hospital of Philadelphia developed ESPRESSO, a new computational tool that can accurately discover and quantify RNA molecules from error-prone long-read RNA sequencing data. This will enable better diagnosis of rare genetic diseases and discovery of potential therapeutic targets in cancer.
A new study published in JAMA Network Open suggests that an early return to school is associated with better outcomes for children who have suffered a concussion. The study found that children who returned to school within two days of their injury had lower symptom burdens and faster recoveries compared to those who stayed home longer.
A new study published in JAMA Network Open suggests that an early return to school after a concussion can lead to better outcomes. The study found that returning to school sooner was linked to lower symptom burdens in youth aged 8-12 and 13-18, potentially due to therapeutic benefits from normal activities.
Most children in the continental US have adequate access to pediatric cancer care, but disparities exist among racial and ethnic groups and in rural areas. Reducing these disparities requires innovative approaches such as expanding local facilities and partnerships with adult oncology centers.
A recent study found that genomic testing can identify genetic causes of childhood hearing loss and provide critical information on its clinical characteristics. The researchers detected variants responsible for hearing loss in 43 different genes, and the severity of hearing loss varied by gene.
Researchers found that inhibiting HSF1 signaling reduces hepatoblastoma growth and induces apoptosis, suggesting it as a viable pharmacologic target. The study also identified HSF1's role in tumor aggressiveness and its potential association with mortality.
Pediatric hospitalizations for cannabis poisonings increased significantly in provinces with legal edible cannabis sales compared to those without. The study highlights the need for regulatory measures to mitigate risks associated with recreational cannabis legalization.
A study by University of Missouri-Columbia researchers found a significant increase in pediatric firearm injuries during the pandemic, with Black and low-income children being most at risk. The monthly injury rate increased by 51.5% during the pandemic, leading to a 29% increase in pediatric firearm deaths.
Research on COVID-19 variants reveals that infants and toddlers with co-infections are significantly more likely to need oxygen therapy and ICU-level care. Co-infection rates were highest during the delta variant, followed by omicron and alpha.
Researchers have discovered that vaping might not be a healthier alternative to smoking, especially in adolescents. EVALI symptoms can mimic those of other respiratory conditions, making diagnosis challenging. Pictorial questionnaires can help identify e-cigarette products used.
The procedure requires thorough pre-procedural evaluation and assessment of anatomical and hemodynamic data. Long-term results indicate that TPVR can effectively restore RVOT function, while improving survival rates and reducing the need for reintervention across age groups. Vigilant testing is recommended to avoid rare but serious com...
Pediatric mental health emergency department visits are rising, driven by markers of disease severity and healthcare access issues. Targeted hospital and community interventions can help mitigate recurrent visits and improve mental health care delivery.
A recent study found that 1 in 5 children and teens who visit emergency departments due to mental health crises will still be there after 12 hours. Another 1 in 13 will remain after a full day, with over 60% being suicidal or having self-harmed.
A new study published in the American Journal of Roentgenology found significant cost savings by eliminating sedation during pediatric brain MRI examinations. The analysis calculated costs for sedated, nonsedated, and limited MRI exams at three US hospitals, revealing that labor costs were the largest expense category.
A new gene therapy treatment has shown promising results in a clinical trial for Artemis-SCID patients, improving their immune function and reducing treatment complications. The treatment involves adding a healthy copy of the Artemis gene to the patient's own cells, resulting in improved T-cell and B-cell immunity.
Research found that common anti-inflammatory drugs taken by children can alter the formation of dental enamel, leading to defects. The study's authors suggest potential harm from widespread use of these medications and plan to conduct a clinical trial to confirm findings in humans.
Rates of pediatric firearm injuries increased significantly during the COVID-19 pandemic, persisting through 2021. Non-Hispanic Black children and those with public insurance were disproportionately affected, highlighting a pressing need for gun safety measures.
Researchers at the Princess Máxima Center found that concentrating surgery for children with neuroblastoma resulted in shorter operation times and reduced blood loss. The study also showed a decrease in side effects, although further research is needed to confirm improved survival rates.
The AVID college preparatory program has been shown to have a positive effect on students' social networks, psycho-social outcomes, and health behaviors. Students who participated in the program had lower odds of using substances and associating with substance-using peers compared to those in usual school programs.
Researchers analyzed COX-2 levels and segmental chromosome aberrations in pediatric neuroblastoma tumor samples. Positive correlations between pre-CT Ch 7q gain and COX-2 expression were found, as well as negative correlations between Ch 7q gain and Ch 11q deletion.
A new study found that only 23% of US neonatal intensive care units (NICUs) screen for social determinants of health, despite AAP recommendations. Clinical leaders believe addressing SDH is feasible and beneficial for infants and families, but lack resources and inadequate referrals are major barriers.
The Children's Surgery Verification Quality Improvement Program, introduced by the American College of Surgeons, improved efficiency in treating children with traumatic injuries. The program reduced surgical wait times and hospital stays by over a day and decreased narcotics use in pediatric patients with femur fractures.
The 2017 American Academy of Pediatrics guideline shows higher levels of proteinuria in children with hypertensive range blood pressure. Clinicians should re-calculate BP percentiles using the new guidelines to accurately diagnose and treat hypertension in pediatric chronic kidney disease.
The Journal of the Pediatric Infectious Diseases Society has published a supplement issue focusing on past, current, and future diversity and inclusion issues affecting pediatric infectious diseases. The collection examines the legacy of health disparities and their impact on the response to COVID-19.
A recent study found that frequent mobile device use for calming young children may displace opportunities for learning emotion-regulation strategies. Pediatric health care professionals may need to encourage alternative calming approaches to support healthy development.
A new national study found that excessive screen time, especially video gaming and watching videos, is linked to an increased risk of developing OCD in US preteens. The study, led by UCSF researchers, suggests that intrusive thoughts about video game content can develop into obsessions or compulsions.
A new treatment protocol has been shown to significantly reduce the risk of aggressive childhood leukemia returning after chemotherapy. The ALL-11 protocol, which includes an extra year of maintenance chemotherapy for children with specific genetic mutations, has improved five-year survival rates and quality of life for these patients....
Research reveals stark racial and ethnic differences in swimming skills, with Black and Latine parents less confident in their abilities and fewer children taking swim lessons. Culturally tailored water-safety programs are crucial to eliminating these disparities and reducing child drownings.
A study of 510 children with chronic kidney disease found that declining hemoglobin levels were associated with significant growth impairment even when above guideline-targeted levels. Lower hemoglobin values are linked to poorer growth, independent of kidney function and age.
A WVU study found that children from non-traditional family structures, such as single-parent households and multi-generational families, face difficulties accessing healthcare. The research highlights the need for providers to be aware of the unique challenges faced by these families and to adapt their services accordingly.
A systematic review of 23 studies found COVID-19 mRNA vaccine-associated myopericarditis is rare in adolescents and young adults with a low incidence rate. The condition generally has favorable early outcomes, but continued follow-up is recommended.
A study using spatial single-cell transcriptomics reveals the spatial organization of cancer cells in patient tissues across ages and locations. The research highlights age- and location-dependent differences in tumor biology, suggesting that kids and adults with diffuse midline gliomas may need different treatments.
A case of a 14-year-old girl who had a cardiac arrest at an overnight camp emphasizes the need for preparation and training for rare but often fatal events. The survival of the patient is attributed to the quick response of emergency medical services and bystander CPR.
The Máxima Butterfly program offers 28 PhD positions in pediatric oncology, focusing on international collaboration and multidisciplinary exchange. Researchers will receive training from leading experts and gain access to innovative techniques and insights.
Researchers developed an efficient engineered pathogen capture method to quickly identify infectious microbes in tiny blood samples. This advanced technology could significantly improve clinical outcomes for children with bloodstream infections and sepsis.
Researchers have found that experimental vaccines, including a protein-based vaccine candidate with an adjuvant, provide superior protection against lung disease and higher levels of neutralizing antibodies compared to mRNA vaccines. The results inform the optimization and development of COVID-19 vaccines for young infant populations.
A new driver training program has been shown to reduce the frequency of long, distracted glances away from the road among teen drivers with ADHD. The FOCAL+ training program improved teen drivers' attention to the roadway and reduced crash risk by 40% compared to a control group.
A new study reveals that children who survive firearm injuries are more likely to develop mental health diagnoses, particularly stress-related conditions and substance misuse issues. The research found that 35% of firearm-injured kids received a new mental health diagnosis in the year after the incident.
CHOP researchers identified a gain-of-function variant in SCN1A that leads to an earlier onset of epilepsy, with clinical features distinct from other epilepsies. The study found that patients with this recurrent variant responded favorably to oxcarbazepine, a readily available anti-seizure medication.
Researchers from Children's Hospital of Philadelphia identified several genetic variants associated with increased cancer risk in children with non-chromosomal birth defects. The study found that these variants were more commonly found in genes related to birth defects and cancer, suggesting a potential basis for early detection.
A low-cost prenatal intervention benefits mothers’ mental health up to eight years later. The eight-week class intervention supported healthier stress responses in their children, and cut their short-term risk of depression and diabetes.
Researchers propose six competency domains for AI use in primary care: foundational knowledge, critical appraisal, medical decision making, technical use, patient communication, and awareness of unintended consequences. These competencies aim to harness AI's potential for patient and societal benefit.
A study published in Pediatric Research found that Zika-exposed children may exhibit differences in motor skills, readiness for school, and parental distress, suggesting the need for additional support as they age. However, cognitive function scores were not significantly different between groups.
The EPCD model, leveraging care team nurses, pharmacists, and social workers, improved diabetes care quality by increasing patients' adherence to treatment guidelines. Staff clinician practices saw significant improvements in glycemic control and patient outcomes after EPCD implementation.
The introduction of a waiting room concierge service has led to significant improvements in patient satisfaction scores, rising from 60% to almost 90%. Patients report feeling more respected and informed while waiting, contributing to the positive changes.
Primary care clinicians are more likely to prescribe CGM when closer to specialized endocrinologists and serving more Medicare patients. Expanded insurance coverage and consultation on CGM issues can support increased use of the technology.